Stachenko S
Disease Prevention Division, Health Canada.
Can J Public Health. 1996 Nov-Dec;87 Suppl 2:S57-9.
The Canadian Heart Health Initiative is a country-wide strategy for the prevention of cardiovascular disease. Initiated with a 15-year horizon, it has resulted in extensive networks and coalitions involving Health Canada, the 10 provincial departments of health and over 1,000 organizations. There are five phases: policy development through country-wide consultations (1986-88); provincial heart health surveys (1986-91); research demonstration programs (1989-97); and evaluation (1994-97). The dissemination research phase studies the adoption of interventions by communities and health systems. As a paradigm for dissemination of health policy, some key features of the Initiative are translation of the science base in prevention into community programs; consensual policy development; federal and provincial co-funding arrangements; key role played by the public health system; capacity building; organization and management model linking activities at the national, provincial and community levels. The methodologies and capacities developed are applicable to other health promotion and disease prevention areas.
加拿大心脏健康倡议是一项预防心血管疾病的全国性战略。该倡议始于15年前，已形成了广泛的网络和联盟，涉及加拿大卫生部、10个省级卫生部门以及1000多个组织。该倡议分为五个阶段：通过全国范围的磋商制定政策（1986 - 1988年）；省级心脏健康调查（1986 - 1991年）；研究示范项目（1989 - 1997年）；以及评估（1994 - 1997年）。传播研究阶段研究社区和卫生系统对干预措施的采用情况。作为卫生政策传播的范例，该倡议的一些关键特征包括将预防科学基础转化为社区项目；协商一致的政策制定；联邦和省级共同资助安排；公共卫生系统发挥的关键作用；能力建设；连接国家、省级和社区层面活动的组织和管理模式。所开发的方法和能力适用于其他健康促进和疾病预防领域。
